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Individual

MRS. MARY DIANE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARNP, FNP

Contact information

Practice address
20011 BALLINGER WAY NE STE 202, SHORELINE, WA 98155-1286
(425) 806-8360
(425) 250-8566
Mailing address
20011 BALLINGER WAY NE STE 202, SHORELINE, WA 98155-1286
(425) 806-8360
(425) 250-8566

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005666
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9638322
WA
Enumeration date
11/04/2005
Last updated
04/11/2023
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